Skilled nursing facility · CMS certification number 676439

Trinity Rehabilitation & Healthcare Center

Trinity, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 76

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,989,841	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,989,841	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,808,539	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$818,698	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$9,543	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$828,241	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$828,241 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	27,816	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	833	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,742	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,634	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,209	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	328	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	384	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	51.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436096, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,500,627	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,500,627	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,705,572	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$204,945	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$13,301	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$218,246	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$274,163 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,824	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	422	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	45.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	46.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389364, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,947,313	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,947,313	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,606,944	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$340,369	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$9,747	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$330,622	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $277,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,669	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	506	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	41.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358781, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 May 2021 to 31 December 2021 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,522,744	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,522,744	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,795,214	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$272,470	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$272,470	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$295,791 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,048	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	304	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	40.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328992, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,920,768	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,920,768	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,851,302	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$69,466	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$69,466	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $65,243 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,327	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	427	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	40.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339260, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,230,759	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,230,759	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,997,059	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$233,700	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$233,700	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,084 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,687	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	386	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	48.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	48.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269623, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 24 January 2018 to 31 December 2018 — a reporting period of 341 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,607,564	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,607,564	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,321,610	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$714,046	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$714,046	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$748,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,255	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	271	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	50.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	45.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1225290, read from the public cost report file SNF10FY2018.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
SCIARRINI, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2021
SMITH, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2021
SQUYRES, HULEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2021
TRINITY RHC LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/08/2025
COOPER, KIMBERLY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/29/2024
NEWTON, ELIZABETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/22/2024
TRINITY RHC LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/01/2021
WHATLEY, DARCY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (enrollment ID O20210607001267).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
HULEN M SQUYRES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH SCIARRINI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL W SMITH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRINITY RHC LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/8/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
ELIZABETH ANN NEWTON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/22/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIMBERLY COOPER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/29/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARCY WHATLEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRINITY RHC LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	5/1/2021	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2025: GENEVIEVE GONZALES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH SCIARRINI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: HULEN M SQUYRES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TRINITY RHC LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHAEL W SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 May 2024: CLAUDE P HACKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: CLAUDE P HACKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ROBERT A PASCASIO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ROBERT A PASCASIO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ANN NEWTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KIMBERLY COOPER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
15 February 2023: PAUL ASLIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: CLAUDE P HACKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: CLAUDE P HACKER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: ROBERT A PASCASIO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: ROBERT A PASCASIO appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Recent changes on this record

1 July 2026: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 July 2025: GENEVIEVE GONZALES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH SCIARRINI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: HULEN M SQUYRES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TRINITY RHC LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHAEL W SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 May 2024: CLAUDE P HACKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: CLAUDE P HACKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ROBERT A PASCASIO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ROBERT A PASCASIO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ANN NEWTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KIMBERLY COOPER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 February 2023: PAUL ASLIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: CLAUDE P HACKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: CLAUDE P HACKER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: ROBERT A PASCASIO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: ROBERT A PASCASIO appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
29 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
4 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 November 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
24 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
23 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	15 April 2026	15 April 2026	36	1
2	27 February 2025	27 February 2025	19	5
3	10 January 2024	10 January 2024	11	1

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

66 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
15 April 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	6 May 2026
15 April 2026	Health	F 0839	Administration Deficiencies	Employ staff that are licensed, certified, or registered in accordance with state laws.	D	No	Deficient, Provider has date of correction	6 May 2026
15 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0940	Administration Deficiencies	Develop, implement, and/or maintain an effective training program for all new and existing staff members.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0941	Administration Deficiencies	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	E	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0942	Resident Rights Deficiencies	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0945	Infection Control Deficiencies	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	E	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D	No	Deficient, Provider has date of correction	8 May 2026
15 April 2026	Health	F 0949	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	E	No	Deficient, Provider has date of correction	8 May 2026
4 March 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	G	Yes	Deficient, Provider has date of correction	10 April 2026
4 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	10 April 2026
4 March 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	1 April 2026
4 March 2026	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	1 April 2026
4 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	1 April 2026
28 January 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	27 February 2026
28 January 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	27 February 2026
28 January 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	27 February 2026
28 January 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	Yes	Deficient, Provider has date of correction	27 February 2026
28 January 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	27 February 2026
17 December 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	18 December 2025
17 December 2025	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	Yes	Deficient, Provider has date of correction	18 December 2025
26 November 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	15 December 2025
26 November 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	Yes	Deficient, Provider has date of correction	15 December 2025
12 November 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	K	Yes	Deficient, Provider has date of correction	20 November 2025
12 November 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	8 December 2025
12 November 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	H	Yes	Deficient, Provider has date of correction	5 December 2025
12 November 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	K	Yes	Deficient, Provider has date of correction	20 November 2025
12 November 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	8 December 2025
12 November 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	K	Yes	Deficient, Provider has date of correction	20 November 2025
12 November 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	8 December 2025
27 July 2025	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E	Yes	Deficient, Provider has date of correction	12 August 2025
27 February 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	13 March 2025
27 February 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	Yes	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	14 March 2025
27 February 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	14 March 2025
27 February 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	14 March 2025
27 February 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	13 March 2025
27 February 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F	No	Deficient, Provider has date of correction	28 February 2025
27 February 2025	Health	F 0941	Administration Deficiencies	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	E	No	Deficient, Provider has date of correction	24 March 2025
27 February 2025	Health	F 0945	Infection Control Deficiencies	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	E	No	Deficient, Provider has date of correction	24 March 2025
27 February 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	No	Deficient, Provider has date of correction	24 March 2025
27 February 2025	Health	F 0949	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	E	No	Deficient, Provider has date of correction	24 March 2025
28 August 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	24 September 2024
28 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	24 September 2024
10 January 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	1 February 2024
10 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	1 February 2024
5 November 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	K	Yes	Deficient, Provider has date of correction	6 November 2023
5 November 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	K	Yes	Deficient, Provider has date of correction	6 November 2023
5 November 2023	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	K	Yes	Deficient, Provider has date of correction	6 November 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
28 January 2026	Fine	$19,115			137818
28 January 2026	Fine	$19,115			138613
28 January 2026	Payment Denial		2 April 2026	8
12 November 2025	Fine	$68,640			135868
12 November 2025	Payment Denial		11 December 2025	4
5 November 2023	Fine	$168,714			111721

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Date First Approved to Provide Medicare and Medicaid Services	2018-01-24
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Trinity
Telephone Number	9367441300
Special Focus Status	SFF Candidate
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	76
Average Number of Residents per Day	56.3
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	4
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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